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General NPI Number Information
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NPI Number | 1851447890
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Entity Type | Individual
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Provider Name | ANTHONY T. CLAVO SR. MD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 10400 N. CENTRAL EXPRESSWAY
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-972-2427
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Fax | 415-795-4434
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Provider Business Mailing Address
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Address Line | P.O. BOX 801475
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City | DALLAS
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State | TX
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Zip | 75380
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Country | US
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Telephone | 404-354-0153
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Fax | 770-632-3731
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | J8962
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | J8962
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License Number State | TX
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